Lunch Detention Assignment Form
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LUNCH DETENTION ASSIGNMENT STUDENT NAME: __________________________________ DATE:______________ ASSIGNED BY: ______________________________ LUNCH DETENTION ASSIGNMENT STUDENT NAME: __________________________________ DATE:______________ ASSIGNED BY: ______________________________ TIME TO CAFÉ: _____________ TIME TO CAFÉ: _____________ TIME FROM CAFÉ: __________ TIME FROM CAFÉ: __________ ROOM # ____________________ ROOM # ____________________ STAFF SIGNATURE: _______________________________ STAFF SIGNATURE: _______________________________ LUNCH DETENTION ASSIGNMENT STUDENT NAME: __________________________________ LUNCH DETENTION ASSIGNMENT STUDENT NAME: __________________________________ DATE:______________ ASSIGNED BY: ______________________________ DATE:______________ ASSIGNED BY: ______________________________ TIME TO CAFÉ: _____________ TIME TO CAFÉ: _____________ TIME FROM CAFÉ: __________ TIME FROM CAFÉ: __________ ROOM # ____________________ ROOM # ____________________ STAFF SIGNATURE: _______________________________ STAFF SIGNATURE: _______________________________ LUNCH DETENTION ASSIGNMENT STUDENT NAME: __________________________________ LUNCH DETENTION ASSIGNMENT STUDENT NAME: __________________________________ DATE:______________ ASSIGNED BY: ______________________________ DATE:______________ ASSIGNED BY: ______________________________ TIME TO CAFÉ: _____________ TIME TO CAFÉ: _____________ TIME FROM CAFÉ: __________ TIME FROM CAFÉ: __________ ROOM # ____________________ ROOM # ____________________ STAFF SIGNATURE: _______________________________ STAFF SIGNATURE: _______________________________ Student: You have been assigned a lunch detention. It is your responsibility to bring this pass to lunch, and immediately give it to Mr. Campbell or a lunchroom administrator. This slip will serve as your pass back to class. Please return it to the teacher who assigned you lunch detention for verification. Student: You have been assigned a lunch detention. It is your responsibility to bring this pass to lunch, and immediately give it to Mr. Campbell or a lunchroom administrator. This slip will serve as your pass back to class. Please return it to the teacher who assigned you lunch detention for verification. Student: You have been assigned a lunch detention. It is your responsibility to bring this pass to lunch, and immediately give it to Mr. Campbell or a lunchroom administrator. This slip will serve as your pass back to class. Please return it to the teacher who assigned you lunch detention for verification. Student: You have been assigned a lunch detention. It is your responsibility to bring this pass to lunch, and immediately give it to Mr. Campbell or a lunchroom administrator. This slip will serve as your pass back to class. Please return it to the teacher who assigned you lunch detention for verification. Student: You have been assigned a lunch detention. It is your responsibility to bring this pass to lunch, and immediately give it to Mr. Campbell or a lunchroom administrator. This slip will serve as your pass back to class. Please return it to the teacher who assigned you lunch detention for verification. Student: You have been assigned a lunch detention. It is your responsibility to bring this pass to lunch, and immediately give it to Mr. Campbell or a lunchroom administrator. This slip will serve as your pass back to class. Please return it to the teacher who assigned you lunch detention for verification.
